Form IN-1916 Affidavit Certifying Decedent Was Killed in the Line of Duty - Tennessee

Form IN-1916 Affidavit Certifying Decedent Was Killed in the Line of Duty - Tennessee

What Is Form IN-1916?

This is a legal form that was released by the Tennessee Department of Commerce and Insurance - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form IN-1916?
A: Form IN-1916 is an affidavit certifying that the decedent was killed in the line of duty. It is specific to the state of Tennessee.

Q: Who uses Form IN-1916?
A: Form IN-1916 is used by the surviving spouse or next of kin of a decedent to certify that the decedent was killed in the line of duty.

Q: What is the purpose of Form IN-1916?
A: The purpose of Form IN-1916 is to establish that the decedent was killed in the line of duty, which may make the surviving spouse or next of kin eligible for certain benefits and assistance.

Q: How do I obtain Form IN-1916?
A: You can obtain Form IN-1916 from the Tennessee Department of Safety and Homeland Security.

Q: What information is required on Form IN-1916?
A: Form IN-1916 requires information such as the decedent's name, date of death, and a narrative explaining how the decedent was killed in the line of duty.

Q: Are there any fees associated with Form IN-1916?
A: There are no fees associated with Form IN-1916. It is provided free of charge by the Tennessee Department of Safety and Homeland Security.

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Form Details:

  • Released on June 1, 2023;
  • The latest edition provided by the Tennessee Department of Commerce and Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IN-1916 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Commerce and Insurance.

Download Form IN-1916 Affidavit Certifying Decedent Was Killed in the Line of Duty - Tennessee

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